A.R.S. § 36-2979.06: Enhanced residential treatment services; provider requirements; transition and discharge planning protocols; reimbursement

(Conditionally Rpld.)

A. Providers of enhanced residential treatment services shall document behavioral interventions, crisis support and staffing adjustments before initiating the discharge of any member.

B. A provider of enhanced residential treatment services shall implement transition and discharge planning protocols and shall obtain approval from the contractor before issuing to a member a nonemergency notice to vacate.

C. The administration may adopt enhanced reimbursement rates for enhanced residential treatment services provided to members under this article. The administration shall incorporate reimbursement rates and methodologies into contractor agreements pursuant to section 36-3412.

D. This section does not:

1. limit the administration's authority to ensure the health and safety of members.

2. Require a provider to continue services when immediate and documented risks to health or safety cannot be mitigated through reasonable clinical interventions.

3. Require a contractor to continue paying for services that are not medically necessary.